Half of the patients diagnosed with lumbar disc herniation in clinical practice are not “lumbar herniation”. This is because these patients only come to the hospital with low back pain or leg pain or hip pain, and when they arrive, the doctor does not give them a physical examination or a specialist examination, but a CT or MRI examination, and this diagnosis is an imaging diagnosis. The development of imaging technology has brought leaps and bounds to medicine, so that the basis that could not be found is now clear at a glance, but it has also brought many disadvantages. Can diagnostic imaging replace clinical diagnosis, or are the two equal, if it is possible then clinicians do not need. In my opinion, imaging data is an important basis for diagnosis, but it is not the only basis. Clinicians make a diagnosis based on a combination of patient’s symptoms, signs, various tests (including imaging) and other information, plus their years of clinical experience. However, at present, this status quo exists for both doctors (which should not be the case) and patients (which is a misconception), making it very difficult for doctors with different diagnoses. In fact, the incidence of herniated discs (no “disease” here) is very high, the human body after the age of 20 years old, the intervertebral discs began to degenerate, the nucleus pulposus water decreased, elasticity decreased, with the body’s weight pressure, the disc can appear bulging or protruding, but these do not necessarily appear symptoms, such as symptoms, there must be corresponding neurological symptoms appear The patients who come to the clinic often have low back pain, hip and leg pain, and most of them are caused by lumbar strain, lumbar 3 transverse synovial syndrome or some dermal nerve compression, and we treat these causes, and the condition is solved. Therefore, I think: 1, whether it is lumbar synostosis cannot be based on the image report alone, but a clear diagnosis can be made only after a comprehensive analysis by a specialist’s physical examination. 2, most patients with low back pain tend to be soft tissue disorders. 3, is that most lumbar synostosis can be solved by non-surgical methods, except for a part of the cauda equina injury that requires immediate surgery. 4, after the treatment of lumbar synostosis, has been the purpose of relieving the symptoms, not to eliminate the protrusions on the image. 5. Self-care and exercise are required after cure. There is the possibility of recurrence, and surgery likewise has the possibility of recurrence. 6, with obvious cauda equina injury or nerve root symptoms still need surgery, not all lumbar synostosis can be conservative.